When replacing a dual chamber implantable defibrillator system with a multi-lead system, what are the correct CPT® codes reported?

In a scenario where a dual chamber implantable defibrillator system is being replaced by a multi-lead system, the correct selection of CPT® codes reflects the specific procedures performed and devices involved in the replacement.

The chosen code set accurately captures the complexity and technical details of the procedure. The first code, which pertains to the replacement of an implantable defibrillator system, is appropriate for this situation since it indicates a multi-lead device. The second code typically represents the insertion of an additional lead into the system, demonstrating the upgrade in the device's capabilities. The additional codes indicate other associated procedures, such as the repositioning or replacement of leads.

Important here is the application of modifiers, like -51 to indicate multiple procedures are performed and -59 which is used to signify that a distinct procedural service has been carried out when appropriate. This highlights the comprehensive nature of the work done during the replacement, acknowledging that multiple procedures are performed in one operative session.

The other options may incorporate codes that either do not fully reflect the nature of the procedure, are incorrect for the specific scenario, or do not align with the guidelines established for coding complex cardiovascular device replacements. Thus, the selected answer stands out as the most accurate and in accordance with coding standards for